Role of TILI Score in Wound Assessment

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Year : April 11, 2024 at 2:46 pm | [if 1553 equals=””] Volume :13 [else] Volume :13[/if 1553] | [if 424 equals=”Regular Issue”]Issue[/if 424][if 424 equals=”Special Issue”]Special Issue[/if 424] [if 424 equals=”Conference”][/if 424] : 01 | Page : 44-48

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    Vaibhav Shukla, Prof Dr Ravi Kumar Chittoria, Jacob Antony Chakiath

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  1. Junior Resident, Senior Professor and Associate Dean, Senior Resident, Jawaharlal Institute of Postgraduate Medical Education and Research, Jawaharlal Institute of Postgraduate Medical Education and Research, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Puducherry, Puducherry, India, India, India
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Abstract

nLocal wound infections pose a significant challenge, often detected later, leading to complications like systemic infections. Global nomenclature lacks uniformity, resulting in varied treatments for similar diagnoses. Early intervention is crucial, advocating for local antimicrobial therapy with diverse active agents to avoid systemic antibiotics and mitigate bacterial resistance. The Therapeutic Index for Local Infections (TILI) score, innovated by the German society Initiative Chronis Che Wenden (ICW), emerges as a pivotal solution in confronting diagnostic hurdles associated with local infections. Consisting of six non-specific clinical criteria, the TILI score not only streamlines the diagnostic process but also facilitates standardized treatment protocols, thereby fostering judicious antibiotic utilization across wound care facilities globally. By providing a structured framework for assessment, the TILI score empowers healthcare professionals to make informed decisions, ensuring optimal management of local infections while mitigating the risks associated with antibiotic overuse, thus safeguarding patient well-being and contributing to the global antimicrobial stewardship efforts. This study emphasizes the significance of the TILI (Tissue, Inflammation, Locality, Infection) score in the precise identification of local wound infections. It serves as a crucial tool in determining the necessity of employing local antimicrobial therapy and aids in monitoring the response to treatment for the purpose of evidence-based documentation. By effectively utilizing the TILI score, healthcare professionals can enhance diagnostic accuracy, optimize treatment strategies, and ultimately improve patient outcomes in the management of wound infections

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Keywords: TILI, Score, Wound, Assessment, Infection

n[if 424 equals=”Regular Issue”][This article belongs to Research & Reviews : Journal of Medical Science and Technology(rrjomst)]

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[/if 424][if 424 equals=”Special Issue”][This article belongs to Special Issue under section in Research & Reviews : Journal of Medical Science and Technology(rrjomst)][/if 424][if 424 equals=”Conference”]This article belongs to Conference [/if 424]

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How to cite this article: Vaibhav Shukla, Prof Dr Ravi Kumar Chittoria, Jacob Antony Chakiath Role of TILI Score in Wound Assessment rrjomst April 11, 2024; 13:44-48

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How to cite this URL: Vaibhav Shukla, Prof Dr Ravi Kumar Chittoria, Jacob Antony Chakiath Role of TILI Score in Wound Assessment rrjomst April 11, 2024 {cited April 11, 2024};13:44-48. Available from: https://journals.stmjournals.com/rrjomst/article=April 11, 2024/view=0

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References

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  1. International Wound Infection Institute. Wound infection in clinical practice. Principles of best practice. Wounds International, 2016.
  2. Lorentzen HF, Gottrup F. Clinical assessment of infection in nonhealing ulcers analyzed by latent class analysis. Wound Repair Regen 2006; 14(3): 350–353. https://doi.org/10.1111/j.1743-6109.2006.00131.x
  3. Murphy C, Atkin L, Swanson T et al. Defying hard-to-heal wounds with an early antibiofilm intervention strategy: wound hygiene. J Wound Care 2020; 29(Suppl 3b):1–26. https://doi.org/10.12968/jowc.2020.29.Sup3b.S1 4 Leaper D, Assadian O, Edmiston CE. Approach to chronic wound infections. Br J Dermatol 2015; 173(2):351–358. https://doi.org/10.1111/ bjd.13677.
  4. Schwarzkopf A, Dissemond J. Indications and practical implementation of microbiologic diagnostics in patients with chronic wounds. J Dtsch Dermatol Ges 2015; 13(3):203–209. https://doi.org/10.1111/ddg.12611.
  5. Dissemond J, Steinmann J, Münter KC et al. Risk and clinical impact of bacterial resistance/susceptibility to silver-based wound dressings: a systematic review. J Wound Care 2020; 29(4):221–234. https://doi. org/10.12968/jowc.2017.26.12.727.
  6. Amadou C, Denis P, Cosker K, Fagot-Campagna A. Less amputations for diabetic foot ulcer from 2008 to 2014, hospital management improved but substantial progress is still possible: a French nationwide study. PLoS One 2020; 15(11):e024252. https://doi.org/10.1371/journal.pone.0242524 8 Satterfield J, Miesner AR, Percival KM. The role of education in antimicrobial stewardship: a review. J Hosp Infect 2020; 105(2):130–141. https://doi.org/10.1016/j.jhin.2020.03.028.
  7. O’Meara S, Al-Kurdi D, Ologun Y et al. Antibiotics and antiseptics for venous leg ulcers. Cochrane Database Syst Rev 2014; 1:CD003557. https://doi.org/10.1002/14651858.CD003557.pub5.
  8. Dissemond J, Gerber V, Lobmann R, Kramer A. TILI [(Therapeutic Index for Local Infections)-a new score for the diagnosis of local wound infections]. [In German.] Wundmanagement 2019; 13: 283–287.
  9. Bui UT, Finlayson K, Edwards H. The diagnosis of infection in chronic leg ulcers: a narrative review on clinical practice. Int Wound J 2019; 16(3): 601–620. https://doi.org/10.1111/iwj.13069.
  10. Jockenhöfer F, Chapot V, Stoffels-Weindorf M et al. Bacterial spectrum colonizing chronic leg ulcers: a 10-year comparison from a German wound care center. J Dtsch Dermatol Ges 2014; 12(12):1121–1127. https://doi. org/10.1111/ddg.12540.
  11. Parikh R, Mathai A, Parikh S et al. Understanding and using sensitivity, specificity and predictive values. Indian J Ophthalmol 2008; 56(1):45–50. https://doi.org/10.4103/0301-4738.37595.
  12. Seguí MM, Cabrero-García J, Crespo A et al. A reliable and valid questionnaire was developed to measure computer vision syndrome at the workplace. J Clin Epidemiol 2015; 68(6):662–673. https://doi. org/10.1016/j.jclinepi.2015.01.015.
  13. Argimon-Pallas JM, Jimenez-Villa J. Methods for clinical and epidemiological research. 3rd ed. Elsevier España, 2004.
  14. Gurusamy KS, Koti R, Toon CD et al. Antibiotic therapy for the treatment of methicillin-resistant Staphylococcus aureus (MRSA) in non surgical wounds. Cochrane Database Syst Rev 2013; 11:CD010427. https://doi.org/10.1002/14651858.cd010427.pub2.
  15. Dissemond J, Böttrich JG, Braunwarth H et al. Evidence for silver in wound care: meta-analysis of clinical studies from 2000–2015. J Dtsch Dermatol Ges 2017; 15(5):524–535. https://doi.org/10.1111/ddg.13233 18 Dissemond J, Dietlein M, Neßeler I et al. Use of a TLC-Ag dressing on 2270 patients with wounds at risk or with signs of local infection: an observational study. J Wound Care 2020; 29(3):162–173. https://doi. org/10.12968/jowc.2020.29.3.162.
  16. Hübner NO, Kramer A. Review on the efficacy, safety and clinical applications of polihexanide, a modern wound antiseptic. Skin Pharmacol Physiol 2010; 23(Suppl):17–27. https://doi.org/10.1159/000318264
  17. Kramer A, Dissemond J, Kim S et al. Consensus on wound antisepsis: Update 2018. Skin Pharmacol Physiol 2018; 3191):28–58. https://doi. org/10.1159/000481545.
  18. Huebner C, Flessa S, Huebner NO. The economic impact of antimicrobial stewardship programmes in hospitals: a systematic literature review. J Hosp Infect 2019; 102(4):369–376. https://doi.org/10.1016/j. jhin.2019.03.002.
  19. Dissemond J, Augustin M, Eming SA et al. Modern wound care-practical aspects of non-interventional topical treatment of patients with chronic wounds. J Dtsch Dermatol Ges 2014; 12(7):541–554. https://doi. org/10.1111/ddg.1235.1
  20. Delmore B, Cohen JM, O’Neill D et al. Reducing postsurgical wound complications: a critical review. Adv Skin Wound Care 2017; 30(6):272– 286. https://doi.org/10.1097/01.asw.0000516426.62418.48.
  21. Dissemond J, Augustin M, Eming SA et al. Modern wound care practical aspects of non-interventional topical treatment of patients with chronic wounds. J Dtsch Dermatol Ges 2014; 12(7):541–554. https://doi. org/10.1111/ddg.12351.
  22. Huebner C, Flessa S, Huebner NO. The economic impact of antimicrobial stewardship programmes in hospitals: a systematic literature review. J Hosp Infect 2019; 102(4):369–376. https://doi.org/10.1016/j. jhin.2019.03.002.

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[if 424 not_equal=””]Regular Issue[else]Published[/if 424] Subscription Original Research

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Volume 13
[if 424 equals=”Regular Issue”]Issue[/if 424][if 424 equals=”Special Issue”]Special Issue[/if 424] [if 424 equals=”Conference”][/if 424] 01
Received March 11, 2024
Accepted March 18, 2024
Published April 11, 2024

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